Supporting someone with a
dual diagnosis of intellectual disability and mental health needs—often called
dual diagnosis—requires a balanced approach that blends structured routine with
person-centered flexibility. Because cognitive processing and emotional
regulation overlap, support strategies must be adaptable and clear. Key Support
Strategies: Consistent Routines & Visual Aids: Daily schedules, visual
planners, and step-by-step checklists reduce anxiety and build predictability.
Proactive Communication: Use plain language, short sentences, and visual cues.
Check for understanding rather than assurance
Emotion & Behaviour Tracking: Keep a simple
log of mood shifts, triggers, and physical symptoms to distinguish between
distress from a mental health episode versus frustration from communication barriers.
Integrated Care Teams: Coordinate regularly between primary healthcare
providers, psychiatrists, direct support staff, and family members to align
goals and monitor medication effects. Living Models & Support Levels Living
Option Support Level Best Suited For Group Homes24/7 staffing and supervision
Individuals needing continuous oversight, medication management, and daily
safety support Supported / Assisted Living Drop-in support (scheduled
hours/days)Individuals who manage basic daily routines independently but need
help with budgeting, shopping, or appointments Family Care Continuous natural
support with external respite Individuals living in a family home where daily
care is shared and routines are adapted directly Daily Life Management Finances
& Budgeting: Use visual tools like color-coded envelope systems or prepaid
cards with daily limits to maintain control while preventing overspending.
Safety & Emergencies: Practice emergency routines repeatedly using
role-play. Keep clear, visual emergency contact sheets near phones or doors.
Community & Transit: Map out familiar travel routes step by step. Use
landmark-based cues rather than complex street names or schedules when
navigating public transport.
Easy Read Daily Support
Checklist
This checklist helps track daily tasks and
highlights when to ask a support worker, carer, or family member for help.
🌅 Morning Routine
[ ] Personal Care: Shower, brush teeth,
wash face, and comb hair.
[ ] Dressing: Put on clean clothes suitable
for the weather.
[ ] Breakfast: Eat a healthy meal and drink
water.
[ ] Medication: Take morning medicines (if
prescribed).
🏡 Household Tasks &
Maintenance
[ ] Tidy Up: Wash dishes and wipe surfaces.
[ ] Safety Check: Ensure doors are locked, and appliances (like the stove/oven) are turned off when not in use.
[ ] Home Repairs & Maintenance: Look for anything that needs fixing (e.g., light bulbs that need replacing, broken
items).
ℹ️ If something needs
fixing, inform your support worker, landlord, or housing contact.
💰 Money & Complex Tasks
[ ] Daily Budget: Check cash or prepaid
card for today’s allowance.
[ ] Mail & Bills: Place unopened mail
into your support tray to review with your support worker or carer.
[ ] Schedule: Check your visual calendar
for appointments or visits today.
🚌 Travel & Navigation
[ ] Route Plan: Review your travel route
before heading out.
[ ] Travel Training: Practice using
landmarks and key stops along familiar routes.
[ ] Emergency Contact: Ensure your
emergency contact card is in your bag or pocket.
🌙 Evening Routine
[ ] Dinner: Eat an evening meal.
[ ] Prep for Tomorrow: Lay out clothes and
check tomorrow's schedule.
[ ] Night Care: Brush teeth and prepare for
bed.
[ ] Night Safety Check: Lock all external
doors and turn off unnecessary lights.
💡 Support Reminder
It is always okay to ask for help!
For help with money management, complex
forms, home repairs, or planning a move, contact your support worker, social
worker, or family member.
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